Effects of non-pharmacological interventions on sleep quality in older adults: a systematic review and network meta-analysis of randomized controlled trials
CBT-I+ was associated with the greatest improvements in sleep quality among older adults, particularly those with baseline PSQI ≥ 10 and in non-home settings. MUS showed greater benefits among older adults with baseline PSQI < 10, and TCHPE showed greater benefits in home-based settings. These findings support stratified, context-specific intervention selection. Given the low GRADE certainty, these results should be interpreted with caution.
Authors
- Ruizhe Kang (ORCID: https://orcid.org/0000-0001-6758-9647)
- Yunfei Li (ORCID: https://orcid.org/0000-0001-8719-6744)
- Yilin Wei
- Dongfeng Tang (ORCID: https://orcid.org/0000-0003-3927-3156)
- Ruoxi Wang (ORCID: https://orcid.org/0000-0002-9695-0582)
- Chengxu Long (ORCID: https://orcid.org/0000-0002-4640-5519)
- S. K. Y. Tang
- Yangyang Pan
- Zhongbao Xiong
- Heng Dong (ORCID: https://orcid.org/0000-0002-7736-4940)
- Bishwajit Ghose
- Hua Qing
- Jia Song
- Manwei Chen
- Chunying Wang
- Yangzhen Huang
- Yanxi Zheng
- Kangkang Zhang
Institutions
- University of Ottawa (CA)
- King's College London (GB)
- Trillium Health Centre (CA)
- Karolinska Institutet (SE)
- Hubei Provincial Center for Disease Control and Prevention (CN)
- Hubei University of Education (CN)
- Huazhong University of Science and Technology (CN)
Publication Details
- Journal
- BMC Medicine
- Published
- 2026-02-25
- DOI
- https://doi.org/10.1186/s12916-026-04682-6
- Primary Topic
- Sleep and related disorders
- Type
- article
- Field-Weighted Citation Impact
- 0.00